<extend name="common:commonSimpleNewTemplate" />
<block name="main_content">
<div>
	<div class="container-fluid">
		<div class="row-fluid">
			<div class="span12">
				<div class="widget-box">
					<div class="widget-title">
						<span class="icon"> <i class="icon-info-sign"></i>
						</span>
						<h5>订单取消确认</h5>
					</div>
					<div class="widget-content nopadding">
						<form novalidate="novalidate" id="basic_validate"
							name="basic_validate" action="orderCancel" method="post" class="form-horizontal">
							<div class="control-group">
								<label class="control-label">订单编号:</label>							
								<div class="controls">
									<input type="text" id="order_id" name="order_id" value="{$order_id}" readonly="readonly">
								</div>
							</div>
							<div class="control-group">
								<label class="control-label">取消原因:</label>
								<div class="controls">
									<select id="cancel_reason" name="cancel_reason" style="width:220px;">
					                
					                  <option value="1">不想要了</option>
					                  <option value="2">下错单了</option>
					                  <option value="3">其他原因</option>
					                </select>
								</div>
							</div>
							<div class="control-group">
								<label class="control-label">备注:</label>							
								<div class="controls">
									<input type="text" id="remark" name="remark" >
								</div>
							</div>
							<div class="form-actions">
								<input id="btn_submit" type="submit" class="btn btn-success" value="确认取消订单">
							</div>
						</form>
					</div>
				</div>
			</div>
		</div>
</div>
</block>
<block name="js_content" >
<script type="text/javascript">

</script>
</block>
